Individual
JUSTIN TYLER WHELCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4411 S ADAMS ST, MARION, IN 46953-5349
(765) 674-4455
(765) 674-3577
Mailing address
4411 S ADAMS ST, MARION, IN 46953-5349
(765) 674-4455
(765) 674-3577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124000
—
IN
01
—
129137500
US DEPT OF LABOR
IN
Enumeration date
11/01/2018
Last updated
11/01/2018
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